From the Department of Physiotherapy, Monash University, Frankston, Australia.
J Am Board Fam Med. 2018 Sep-Oct;31(5):783-794. doi: 10.3122/jabfm.2018.05.180065.
Restless legs syndrome (RLS) is a sensorimotor disorder that can have a considerable negative impact on quality of life and sleep. Management is primarily pharmacological; nonpharmacological options are limited. The objective of the present study was to determine the effect of tension and trauma release exercises on RLS severity compared with discussion group controls.
Participants satisfied RLS diagnostic criteria, did not have acute mental health conditions, and reported being physically able to complete exercises. Eighteen participants (stratified by age and RLS severity) were randomly allocated with concealment to once-weekly sessions of trauma release exercises (n = 9), exercises to stretch and fatigue lower limb muscles and invoke therapeutic tremors, or control discussion groups (n = 9) for 6 weeks. Outcomes assessed at baseline and each week were International Restless Legs Syndrome Rating Scale scores, global RLS severity ratings (visual analog scale, 0 to 10), global stress ratings (visual analog scale, 0 to 10), Pittsburgh Insomnia Rating Scale scores and Major Depression Inventory scores.
There were no significant between-group differences at baseline except for more severe global RLS scores for controls ( = .003). There were no significant between-group differences at week 6 on any outcome. Significant improvements across time were seen for both groups on all outcomes.
In this exploratory study, tension and trauma release exercises and attending discussion groups were associated with similar outcomes. Participants in both groups improved similarly across time. Future research might establish score stability across a prolonged baseline before commencing intervention.
不宁腿综合征(RLS)是一种感觉运动障碍,会对生活质量和睡眠产生相当大的负面影响。治疗主要是药物治疗;非药物治疗选择有限。本研究的目的是确定紧张和创伤释放运动对 RLS 严重程度的影响,与讨论组对照。
参与者符合 RLS 诊断标准,没有急性心理健康状况,并报告身体能够完成运动。18 名参与者(按年龄和 RLS 严重程度分层)被随机分配到每周一次的创伤释放运动(n = 9)、伸展和疲劳下肢肌肉并引发治疗性震颤的运动或对照组(n = 9),持续 6 周。在基线和每周评估的结果是国际不宁腿综合征评分量表评分、总体 RLS 严重程度评分(视觉模拟量表,0 到 10)、总体压力评分(视觉模拟量表,0 到 10)、匹兹堡睡眠质量指数评分和抑郁自评量表评分。
除对照组的总体 RLS 评分更严重(=.003)外,两组在基线时无显著差异。在第 6 周时,两组在任何结果上均无显著差异。两组在所有结果上均显示出随时间的显著改善。
在这项探索性研究中,紧张和创伤释放运动以及参加讨论小组与类似的结果相关。两组参与者随时间的推移都有相似的改善。未来的研究可能会在开始干预之前建立一个延长的基线的评分稳定性。